Principles of Complicated Exodontia
The removal of most erupted teeth can be achieved by closed or forceps delivery but occasionally this technique does not suffice. The surgical or open extraction technique is the method used for recovering roots that were fractured during routine extraction or teeth and cannot be extracted by the routine closed methods for a variety of reasons. In addition, removal of multiple teeth during one surgical session requires more than the routine removal of teeth as described in Chapter 7. Small flaps are usually required for recontouring and smoothing bone.
This chapter discusses techniques for surgical tooth extraction. The principles of flap design, development, management, and suturing are explained, as Me the principles of surgical extraction of single-rooted and multirooted teeth. Also discussed are the principles involved in multiple extractions and concomitant alveoloplasty.